| Warnecke Professional Counseling, Pc | |
|
2050 Roswell Rd Marietta GA 30062-3811 | |
| (678) 252-6115 | |
| (678) 399-1678 |
| Full Name | Warnecke Professional Counseling, Pc |
|---|---|
| Speciality | Counselor |
| Location | 2050 Roswell Rd, Marietta, Georgia |
| Authorized Official Name and Position | Andrew R Warnecke (OWNER) |
| Authorized Official Contact | 7703093171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warnecke Professional Counseling, Pc 2050 Roswell Rd Marietta GA 30062-3811 Ph: (678) 252-6115 | Warnecke Professional Counseling, Pc 2050 Roswell Rd Marietta GA 30062-3811 Ph: (678) 252-6115 |
| NPI Number | 1003066077 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 10/24/2023 |
| Certification Date | 08/15/2023 |
| Medicare PECOS PAC ID | 3678848850 |
|---|---|
| Medicare Enrollment ID | O20171014000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003066077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Douglas Stahel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235264532 PECOS PAC ID: 0840439105 Enrollment ID: I20130617000562 |
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